Case Manager - Care Management

Legacy Health • Portland, OR

2h • $54 - $81 • Onsite

About The Position

The Case Manager coordinates and facilitates interdisciplinary, comprehensive, patient-centered, quality care for patients with acute and chronic health conditions throughout the continuum of care. The role supports optimal health outcomes within accepted standards of care and serves as an expert resource to the healthcare team on care transitions, efficient resource use, best-practice protocols, team-based care, quality measures and regulatory requirements.

The Case Manager plans handoffs between healthcare settings, partners with patients and families to identify health issues and barriers to self-care, and provides education on self-management using culturally responsive and health-literacy-informed approaches. The role monitors and reports intervention outcomes through rapid quality improvement cycles and coordinates care that is appropriate and fiscally sound.

This position is based at Legacy Emanuel Medical Center in North Portland, a local and regional provider of care for serious illness and injury.

Requirements

• Minimum of 2 years of clinical nursing experience.
• Current applicable state RN licensure.
• BLS for Healthcare Providers from the American Heart Association is required for employees performing this job in Oregon.
• Knowledge of disease management, including diagnostics, treatment, prognosis, community resources, and healthcare reimbursement.
• Knowledge of the six core components of case management: psychosocial aspects, healthcare reimbursement, rehabilitation, healthcare management and delivery, principles of practice such as CMS guidelines and Interqual criteria, and case management concepts.
• Excellent organizational skills.
• Health-literate oral and written communication skills for effective interaction with all members of the patient’s healthcare team.
• Knowledge of transitional planning to and from all care settings.
• Ability to determine and access appropriate community resources.
• Ability to engage patients and families in discussions about healthcare goals and decisions, with attention to cultural and health-literacy considerations.
• Ability to effectively adhere to and implement regulations and serve as a regulatory resource to team members.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.

Nice To Haves

• Academic degree in nursing (BSN or higher).
• Relevant experience coordinating community resources, managing care for diverse patient populations, or working in ambulatory care.
• Knowledge of levels of care across the healthcare continuum, including inpatient, emergency care, rehabilitation, home health, hospice, long-term acute care, SNF, ICF, and ALF, and an overall understanding of utilization and resource management.
• Working knowledge of care management models across the continuum.
• Case management certification.

Responsibilities

• Coordinate and facilitate interdisciplinary provision of comprehensive, patient-centered, quality healthcare throughout the continuum for patients with acute and chronic health conditions.
• Foster optimal healthcare outcomes within accepted standards of care.
• Serve as an expert resource to the healthcare team regarding the continuum of care, efficient resource use, best-practice protocols, team-based care, quality indicators and improvement, and regulatory requirements.
• Ensure smooth transitions between healthcare environments through planned handoffs.
• Partner with patients and families to identify healthcare issues and barriers to self-care, set priorities, and engage in appropriate interventions.
• Use cultural agility and health-literacy guidelines to educate patients about self-management strategies.
• Use rapid quality improvement cycles to monitor, evaluate, measure, and report intervention progress and outcomes.
• Pace cases to ensure appropriate and fiscally sound care coordination across the continuum.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed